Individual provider Active NPI

Dimitri Lespinasse

  • Physical Therapy Assistant
  • Lake Worth, FL
National Provider Identifier
1215487202
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
26740 Issued in FL
Practice address
1111 N Federal Hwy
Lake Worth, FL 33460-2358
Phone
(305) 812-8894
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 26740 FL Primary

Addresses

Primary practice location

1111 N Federal Hwy
Lake Worth, FL 33460-2358

Mailing address

1111 N Federal Hwy
Lake Worth, FL 33460-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26740FLMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1215487202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602358",
            "telephone_number": "305-812-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESPINASSE",
        "first_name": "DIMITRI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "26740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.